Advertisement
Research Article| Volume 9, ISSUE 3, P573-586, September 1989

Managing Hazardous Waste in the Clinical Laboratory

  • Gerald A. Hoeltge
    Correspondence
    Corresponding author: Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, OH 44195-5133.
    Affiliations
    Chairman, Department of Blood Banking, The Cleveland Clinic Foundation, Cleveland, Ohio
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      Clinical laboratories generate wastes that present chemical and biologic hazards. Ignitable, corrosive, reactive, toxic, and infectious potentials must be contained and minimized. A summary of these problems and an overview of the applicable regulations are presented. A checklist of activities to facilitate the annual review of the hazardous waste program is provided.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Clinics in Laboratory Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Benniaman G.R.
        • Allen R.J.
        • Graham P.J.
        Disposal of infectious hospital waste: The problem in Illinois.
        Environ Profes. 1984; 6: 247
        • Eitzen H.E.
        • French M.L.V.
        Disposal of hospital waste.
        J Hosp Supply Processing Distribution. 1985; (July-Aug): 64
      1. Federal Register. 1987; 52 (ff., April 22): 13378
      2. Federal Register. 1987; 52 (ff., June 4): 21152
        • Grecz N.
        • Hahn E.W.
        • Jouris W.E.
        Medical gamma processing facility in Riyadh, Saudi Arabia, and radiation applications.
        Int J Appl Radiat Isot. 1985; 36: 741
        • Mutch P.F.
        • Mathias B.K.
        Solid waste handling in hospitals.
        in: Ajumdar S.K.M. Miller W.E. Solid and Liquid Wastes: Management, Methods and Socioeconomic Considerations. The Pennsylvania Academy of Science, Easton, PA1984
        • National Committee for Clinical Laboratory Standards
        Proposed Guideline GP5-P, Clinical Laboratory Hazardous Waste. NCCLS, Villanova, PA1986
        • National Committee for Clinical Laboratory Standards
        Proposed Guidelines M29-P, Protection of Laboratory Wastes from Infectious Disease Transmitted by Blood and Tissue. NCCLS, Villanova, PA1987
      3. National Fire Protection Association: NFPA 30, Flammable and Combustible Liquids Code. Quincy, MA, WFPA

      4. National Fire Protection Association: NFPA 704, Hazard Identification System. Quincy, MA, WFPA

        • National Fire Protection Association
        NFPA 99, Health Care Facilities. NFPA, Quincy, MA1987
        • National Research Council
        Prudent Practices for Disposal of Chemicals for Laboratories. National Academy Press, Washington, DC1983
      5. Public Law 94-580, 1976

      6. Public Law 98-616, 1984

        • Rutala W.A.
        • Sarubbi F.A.
        Management of infectious waste from hospitals.
        Infect Control. 1983; 4: 198
        • Slavik N.S.
        Report on the proceedings of the EPA infectious waste management meeting. EPA Headquarters, Washington, DC1987 (November 12)
        • Thomann W.R.
        Hazardous waste volume reduction—the new mandate.
        in: Richardson J.H. Proceedings of 1985 Institute for Critical Issues in the Health Laboratory Practice. Du Pont Company, Wilmington, DE1986
      7. Title 10, CFR, Part 20, Section 20.306. See also Title 10, CFR, Part 20, Appendix B, Table II

      8. Title 29, CFR, Part 1990, Section 1990.112

      9. Title 29, CFR, Part 1910, Subpart J, Section 1910.145

      10. Title 29, CFR, Part 1910, Subpart Z, Section 1910.1200

      11. Title 40, CFR, Part 261, Subpart C, Section 261.21

      12. Title 40, CFR, Part 261, Subpart C, Sections 261.21 to 261.24

      13. Title 40, CFR, Part 261, Subpart C, Section 261.22

      14. Title 40, CFR, Part 261, Subpart C, Section 261.23

      15. Title 40, CFR, Part 261, Subpart C, Section 261.24

      16. Title 40, CFR, Part 261, Subpart D, Sections 261.31 to 261.33

      17. Title 40, CFR, Part 261, Subpart D, Section 261.31

      18. Title 40, CFR, Subpart A, Section 261.5, Section 262, Subpart C, Section 262.32-34, Section 265, Subpart I, Section 265.171-176

      19. Title 40, CFR, Part 262

      20. Title 40, CFR, Part 262, Subpart B, Section 262.40; Part 263, Subpart B, Section 263.20; Part 264, Subpart C, Section 264.71

      21. Title 40, CFR, Part 262, Subparts B and C

      22. Title 40, CFR, Part 262, Subpart B, Section 262.34

      23. Title 40, CFR, Part 264

      24. Title 40, CFR, Part 264, Subpart N, Section 264.316

      25. Title 40, CFR, Part 264, Subpart O, Section 264.343

      26. Title 40, CFR, Part 302, Table 302.4

      27. Title 49, CFR, Parts 171 through 179

        • United States Environmental Protection Agency
        EPA Guide for Infectious Waste Management. EPA, Washington, DC1986
        • Vesley D.
        • Lauer J.
        Decontamination, sterilization, disinfection, and antisepsis in the microbiology laboratory.
        in: Miller B.M. Laboratory Safety: Principles and Practices. American Society of Microbiology, Washington, DC1986: 182